Author/Authors :
ASGHARI VOSTACOLAEE Yasser نويسنده General Physician , Shafi Hamid Hamid نويسنده Department of Urology, Babol University of Medical Sciences, Babol, Iran Shafi Hamid Hamid , Darzi Aliasghar نويسنده Department of Surgery, Shahid Beheshti Hospital, Babol University of Medical Sciences, Babol, IR Iran , Kamali Ahangar Sekineh نويسنده Clinical Research Department, Shahid Beheshti Hospital, Babol University of Medical Sciences, Babol, IR Iran
Abstract :
[Introduction]Nowadays, surgical treatment is the gold standard to manage traumatic intraperitoneal urinary bladder rupture; there is an increasing trend of conservative management in cases of urinary tract trauma.[Case Presentation]A 72-year-old male with high energy trauma due to car accident had blunt traumatic intraperitoneal urinary bladder rupture with pelvic fracture. He was successfully managed non-operatively by catheter drainage of the bladder and external fixation of the pelvic fracture while he was hemodynamically stable and there was no other organ injury.[Conclusions]Non-operative management for a blunt traumatic intraperitoneal bladder rupture with pelvic fracture is an important treatment modality if a laparotomy is not needed for any other abdominal organ injuries, and urine can be constantly drained through a catheter; and a close surveillance can be performed for generalized peritoneal signs and uroascites.
